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We often have patients who ask, “Can drinking alcohol affect my oral health?” There are, in fact, a few reasons why that martini may not be good for your pearly whites.

In addition to creating an overly acidic environment in your mouth, alcohol severely dehydrates oral tissues because of its desiccant and diuretic properties. Because alcohol saps oral tissues of their moisture so readily, saliva glands can't keep enough saliva in the mouth to prevent dry mouth. In addition, saliva contains antibacterial properties that inhibits growth of anaerobic bacteria, a destructive type of oral bacterial responsible for tooth decay, gingivitis, chronic bad breath, and periodontitis.

What are anaerobic bacteria?

When there is a lack of saliva flow in the mouth and the mouth cannot naturally cleanse itself of oral debris (food particles, dead skin cell, mucous), conditions develop that promote activity of anaerobic bacteria, or bacteria that thrive in dry, airless places. These anaerobes also flourish when an unending supply of proteins (food debris) are available to consume, creating rapidly multiplying layers of plaque that stick to teeth and demineralizes tooth enamel unless removed by brushing and professional dental cleanings.

Oral Cancer and Alcohol

Acetaldehyde is a chemical compound leftover after the liver has metabolized alcohol. Capable of causing genetic mutations, acetaldehyde is also a known carcinogen that contributes to the ill feelings of hangovers. Although most metabolism of alcohol is done in the liver, evidence shows that metabolism also occurs outside the liver and that enzymes in the mouth could encourage accumulation of acetaldehyde in oral tissues.

When combined with poor oral health, smoking, and other detrimental lifestyle factors, alcohol may be considered a primary contributory factor in the development of oral cancer.

Even if you don't drink or drink only occasionally, remaining aware of symptoms that may indicate oral cancer will improve your chances of recovering successfully when you start treatment in the early stages of oral cancer. Signs include red or while speckled patches in the mouth, unexplained bleeding, lumps/swellings, chronic ear or throat pain, and areas of numbness in the mouth or on the face.

If you have any questions about alcohol and its connection to oral health, don’t hesitate to ask Dr. Meuselbach at your next visit to our West Chester office.

A dental crown is often called a “cap.” A dental crown covers all of the visible parts of the tooth and has many functions and reasons for placement.

There are several different types of crowns available at Robert Scott Meuselbach DDS. They vary in their material, appearance, and functionality. A PFM, or porcelain fused to high-noble metal, is the most common. A full cast, high noble metal crown is a gold crown, and a stainless-steel crown is meant to be temporary. The most natural-looking crown is one that is all porcelain. These are often used for front teeth.

Getting a crown typically requires two appointments. The first is a preparation with impressions, shaping, and placing a temporary. The impressions are either sent to a dental lab, where the process generally takes two weeks, or done in-office with a machine that can make a crown without needing a second appointment. These crowns are made from a high-quality solid block of porcelain. The shape of the tooth is constructed from a digital 3D image of your tooth.

To accurately determine which type of crown is best, you must first know why you need the crown and in what area of your mouth is it needed, which can be answered when you visit us at Robert Scott Meuselbach DDS. For instance, if you have a gold crown on the lower right and need a new crown directly above on the upper right, the best durability and long-lasting relationship is another gold crown.

If you need a crown on a front tooth, a gold crown may not be the best choice. A PFM has strength but is not ideal, as a dark line will appear at the gum line. A full porcelain crown is going to look as close to a natural tooth as possible, but will have less strength than a gold crown.

There are two types of porcelain crowns, depending on how they are made. A dental lab makes a full porcelain crown by baking layer upon layer to make the porcelain look like natural enamel. A full porcelain crown made in-office out of a solid piece of porcelain will have increased strength. However, the natural layered appearance is extremely difficult to achieve.

A crown is placed on a tooth when added strength is needed. Cracks, large broken-down fillings, or previous root canal treatment are all conditions where a crown is the standard care. The type of crown that is most appropriate depends greatly on location.

We want you to be happy with your smile, and we’ve worked with you to make sure your teeth are their healthiest and brightest. But there is more to your smile than teeth alone! If you are concerned about smile lines, lip lines, thinner lips, or other signs of aging, talk to us. Dermal fillers might be just the solution you are looking for to provide the ideal frame for your beautiful smile.

• What can dermal fillers do for you?

As we age, we start losing the substances in our skin that keep it firm and wrinkle-free. Collagen is the protein that gives our skin structure and the ability to both stretch and snap back. Hyaluronic acid, while we don’t hear as much about it, is actually one of the most important keys to youthful skin. This compound not only attracts water, but binds it to our cells, leaving the skin plump and smooth. But over time, collagen starts to break down and lose its elasticity, and our bodies produce less hyaluronic acid.

These biological changes have noticeable effects on our faces. Permanent lines are visible between the corners of our noses and lips, small wrinkles develop above the mouth, and our lips may appear both wrinkled and thinner. A face-lift can tighten the skin and facial muscles, and neurotoxins such as Botox can prevent facial muscles from wrinkling. But these procedures can’t replace lost volume. A filler, on the other hand, actually provides the fullness the face and lips may have lost for a more youthful and natural appearance.

• How do dermal fillers work?

There are a variety of fillers available, both natural and synthetic. Dermal fillers are minimally invasive and injected under the skin’s surface. They plump lines and wrinkles, restore volume to the lips, and can reduce acne scarring or other scars by filling depressed spots in the skin. Most fillers are temporary, and designed to be safely absorbed by your body over time.

What are some common concerns about dermal fillers?

• Are they safe?

We only use approved dermal fillers, and are trained in the safe use and application of this treatment. We will describe the procedure in detail, so you will know what to expect and how to care for yourself afterward, and explain any possible side effects (although these are rare). If you are pregnant, breastfeeding, have any allergies or other health conditions, or have dental work scheduled in the near future, let Dr. Meuselbach know.

• Are they effective?

We can discuss any concerns you have about specific facial conditions and what you would like to accomplish. We tell you if you are a good candidate for dermal fillers, and how they can provide you with a more youthful—and natural—appearance. Because dermal fillers are generally absorbable and temporary, the results usually last from six months to a year.

If you want your smile to look more youthful, if you’d like fuller lips, if you’d like to reduce wrinkling around the face and mouth—give our West Chester office a call! Because working together, we can make the most of your beautiful smile.

By no stretch is it rare for your gums to hurt during and after flossing. Even some bleeding is to be expected. This is especially true if you have not flossed in a long time. However, if your gums do indeed hurt when you floss, and unbearably so, there are some things you can do.

Be Gentle

Perhaps the most obvious way to combat gum soreness and bleeding is to be gentle. One of the most common occurrences of these gum problems is over-aggressive flossing. In other words, if you are too rough on your gums while flossing, either because you are out of practice or because you are in a hurry, soreness and hurting is to be expected. Instead, try taking your time and be gentle. Also, if you are just starting out, be patient and consistent, your gums will become more conditioned over time.

Use an Alternative Method

If being consistent and gentle does not work, there are other alternative methods of flossing that you can try. You can also try a water floss machine, or what is sometimes called a water pick. The device essentially shoots water into the crevasses between your teeth, and in other areas of your mouth, in order to dislodge food and plaque. These oral instruments also come with different attachments that allow you to reach many of the hard to see and reach areas of your mouth. And lastly, you can always buy floss that is not as abrasive to your gums. There is floss that comes with soft and gentle coatings that will do less harm to your gums while they are adjusting to the good oral hygiene habit you are creating.

Flossing is one of the easiest parts of oral hygiene to overlook. When you first start out, it is common that you may want to stop because of the pain it can initially cause. However, if you try one, or all, of the above mentioned methods, you will give yourself the best chance of being success with your flossing, and it won't hurt as much.

For more flossing tips, schedule an appointment at our West Chester office and askDr. Meuselbach or a member of our team!